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Contact Information

TEWODROS GEDAMU, OD
11784 LEE JACKSON MEMORIAL HIGHWAY
FAIROAKS MALL LOWER LEVEL
FAIRFAX, VA22033
 Phone: 703-591-9377
 Fax: 703-352-8709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TEWODROS GEDAMU · (Male)

NPI Number 1558472878
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/31/2006
Last updated 06/21/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • DC License # OP1000039
  • MD License # TA 1661
  • VA License # 0618001068
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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